Department of Medical Education and Bioethics, Faculty of Medicine, Public Health and Nursing Universitas Gadjah Mada; Department of Emergency Medicine, Panti Rapih Hospital, Yogyakarta, Indonesia.
Department of Surgery, Prof. Dr. W. Z. Johannes General Hospital; Department of Surgery, Faculty of Medicine and Veterinary Medicine, Universitas Nusa Cendana, Kupang, Indonesia.
Educ Health (Abingdon). 2022 Sep-Dec;35(3):89-95. doi: 10.4103/efh.EfH_375_20.
High maternal-neonatal mortality rate in the East Nusa Tenggara Timur Province, Indonesia, has raised a concern about improving quality health care and prevention. A task force team consisting of the district health office and the corresponding hospital implemented an interprofessional peer mentoring for improving maternal-neonatal health initiative involving various health professionals and community members. This study assesses the effectiveness of the interprofessional peer-mentoring program in improving health-care workers' capacity and community members' awareness of maternal-neonatal health in the primary care setting.
A mixed-methods action research was conducted to measure the effectiveness of the peer-mentoring program. The task force appointed 15 personnel to be trained as peer mentors for 60 mentees from various professions. Peer mentors' perceptions of knowledge and skills improvement were measured before and after the training program. A reflective logbook was then developed to document mentoring activities. Surveys and logbook observations were performed to measure the effectiveness of the 8-month peer-mentoring program. Mentees' capacity and perception were measured before and after the mentoring program. Quantitative data were analyzed using the descriptive statistics and Wilcoxon's paired-rank test, whereas open-ended responses and log-book reflection were analyzed using the content analysis.
The peer-mentor training program improved peer mentors' knowledge and readiness from 3.64/5.00 to 4.23/5.00 (P < 0.001). Moreover, mentees viewed the program as effective in improving self-confidence and working capacity in maternal-neonatal health services from 3.47/5.00 to 3.98/5.00 (P < 0.001). Open-ended responses and a reflective logbook revealed that both mentees and peer mentors gained positive learning experiences. Seniority might become an obstacle to the mentoring process since peer mentors reported barriers in engaging elderly mentees due to seniority issues.
The interprofessional peer-mentoring program was effective in improving both mentors' and mentees' knowledge, self-confidence, and working capacity in maternal-neonatal primary health services and experiential learning. Further observation of the long-term outcomes of the program should be undertaken.
印度尼西亚东努沙登加拉省的母婴高死亡率引起了人们对改善医疗质量和预防的关注。一个由地区卫生局和相应医院组成的工作队实施了一项跨专业的同行指导计划，旨在提高母婴健康水平，涉及各种卫生专业人员和社区成员。本研究评估了同行指导计划在提高初级保健中卫生保健工作者能力和社区成员母婴健康意识方面的效果。
采用混合方法行动研究来衡量同行指导计划的效果。工作队任命了 15 名人员接受培训，成为来自不同专业的 60 名学员的同行导师。在培训计划前后，测量同行导师对知识和技能提高的看法。然后开发了一份反思日志本，以记录指导活动。进行了调查和日志本观察，以衡量 8 个月的同行指导计划的效果。在指导计划前后，测量学员的能力和看法。使用描述性统计和 Wilcoxon 配对等级检验分析定量数据，而使用内容分析分析开放式回答和日志本反映。
同行导师培训计划提高了同行导师的知识和准备程度，从 3.64/5.00 提高到 4.23/5.00（P<0.001）。此外，学员认为该计划在提高母婴保健服务中的自信心和工作能力方面非常有效，从 3.47/5.00 提高到 3.98/5.00（P<0.001）。开放式回答和反思日志本显示，学员和同行导师都获得了积极的学习经验。资历可能成为指导过程的障碍，因为同行导师报告说，由于资历问题，在与年长的学员互动时存在障碍。
跨专业同行指导计划在提高导师和学员在母婴初级保健服务中的知识、自信心和工作能力以及体验式学习方面是有效的。应进一步观察该计划的长期效果。
